| NPI | 1386920791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP443721) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RPI004395) |
| 183500000X Pharmacist (Licence: NJ 28RI03327900) | |
| Enumeration Date | 2011-10-30 |
| Last Update Date | 2020-12-16 |